Gum diseases range from simple gum inflammation to serious disease that results in major damage to soft tissue and bone that support the teeth. In the worst cases the teeth are lost.


Our mouths are full of bacteria, that along with mucus and other particles forms a sticky, colorless plaque on teeth. If this plaque is not removed by daily brushing, it hardens and forms “tartar” that brushing doesn’t clean. Only a professional cleaning by dentist or dental hygienist can remove tartar.



You may need surgery for severe gum disease (periodontitis) if it cannot be cured with antibiotics or root planing and scaling. A flap procedure cleans the roots of a tooth and repairs bone damage caused by gum disease. A gum specialist (periodontist) or an oral surgeon often performs the procedure.

Before the procedure, you will be given a local anesthetic to numb the area where the doctor will work on your gums.

The doctor will pull back a section of your gums to clean the roots of your teeth and repair damaged bone, if needed. The gum flap will be sewn back into place and covered with gauze to stop the bleeding.


The flap procedure is necessary when severe gum disease (periodontitis) has damaged the bones that support your teeth.

Image showing stages of periodontal disease at which flap surgery might be needed



Dental scaling is routinely performed to help patients with gum disease and excessive plaque buildup. While a standard cleaning will address the surface of the tooth, scaling goes much deeper. If your dentist suggests dental scaling and root planing for your teeth, it’s helpful to know what this means so you can prepare for what’s ahead

Image showing scaling process on a tooth affected by plaque and tartar formation

Scaling is a common dental procedure for patients with gum disease. This is a type of dental cleaning that reaches below the gum line to remove plaque buildup. The process of scaling and root planing the teeth is often referred to as a deep cleaning. This treatment goes beyond the general cleaning that you receive with your regular checkup and annual visit.


If you have healthy gums, the tissue will fit tightly around the tooth and keep plaque out. However, if gum disease begins to form, this tissue will loosen. Healthy gums attach to the tooth just 1 to 3 millimeters below the gumline. With gum disease, you’ll begin to develop deeper pockets. These can fill with plaque, worsening your problems and causing symptoms like bad breath.

If you have pockets of 4 millimeters or more, your dentist will probably recommend dental scaling to remove the plaque beneath the gumline and help treat the gum disease.


The bacteria cause inflammation of the gums, This is called “gingivitis.” In gingivitis, the gums become swollen and red, and can bleed easily. Gingivitis is a mild form of gum disease that can usually be easily treated with daily brushing and flossing. A regular cleaning by a dentist or dental hygienist will also help treat gingivitis. The dentist or dental hygienist uses an ultrasonic scaling device to remove plaque to make gum smooth and disease free. This form of gum disease does not include any loss of bone and tissue that hold teeth.

A professional cleaning by dentist can remove plaque that has built up and hardened into tartar. By scheduling regular checkups, twice a year,early stage gum disease can be treated before it leads to a much more serious condition.


When gingivitis is not treated, it can advance to “periodontitis”. This involves inflammation around the tooth. In periodontitis, gums pull away from the teeth and form spaces that are called “pockets”, which become infected. The body’s immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body’s natural response to infection start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become loose and must be removed.

Laser treatments, gingival flap surgery, as well as bone grafting to restore lost bone,all dental services also available in Nizamabad.

For more information, book your free consultation appointment online or just give us a call at (puu number here) or visit our hospital in Nizamabad today.